Individual
BRITTANY MODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E 78TH ST STE 1A, NEW YORK, NY 10075-2010
(516) 313-2430
Mailing address
280 PARK AVE S, NEW YORK, NY 10010-6121
(516) 313-2430
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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